$54.45
Use 99448 for 21–30 minutes of qualifying consultant work; 99449 begins at 31 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
99449 Interprofessional consult Medicare reimbursement rates in Kentucky
Reports a consultant physician’s remote review, discussion, and written recommendations when requested by a treating clinician and the service takes at least 31 minutes. Compare 99449 office and facility rates across CMS payment localities in Kentucky.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99449 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$73.00
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$61.71
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Interprofessional consultation
About 99449: Interprofessional consultation, 31 minutes or more
Reports a consultant physician’s remote review, discussion, and written recommendations when requested by a treating clinician and the service takes at least 31 minutes.
99449 captures a consultant physician’s substantial remote review and management input for a patient whose treating clinician requests specialty advice. The consultant reviews relevant records or test results, discusses findings and recommendations with the treating or requesting physician or other qualified health care professional, and sends a written report. A typical case is a primary care clinician seeking cardiology, neurology, infectious disease, or endocrinology guidance without arranging a face-to-face visit with the consultant.
Select 99449 when the consultant’s qualifying work totals at least 31 minutes; codes 99446–99448 cover shorter time bands. Document the request and clinical question, records reviewed, consult communication, recommendations and written report, and the consultant time supporting the threshold. The requesting clinician’s coordination work is distinct and may be reported with 99452 when its requirements are met. The CMS fee schedule values 99449 through work, practice-expense, and malpractice RVUs.
Where the value comes from
- Work RVU1.40 · 61%
- Practice expense (office) RVU0.76 · 33%
- Malpractice RVU0.12 · 5%
6K
Medicare services in 2024 · #1763 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
99449 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$34.11
99451 covers a related interprofessional consultation with a written report and a shorter minimum time threshold; 99449 is for 31 minutes or more and includes consultant communication and a written report.
$35.60
99452 represents the requesting clinician’s referral-preparation and communication work. 99449 represents the consultant physician’s review, advice, and report.
Compare 99449 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$73.00
Facility
$61.71
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99449 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
13,116
- Code
- 99449
- Physician work
- 1.40
- Practice expense
- 0.76
- Malpractice
- 0.12
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.40 | × 1.000 | 1.4000 |
| Practice expense | 0.76 | × 0.889 | 0.6756 |
| Malpractice | 0.12 | × 0.915 | 0.1098 |
| Total RVUs | 2.1854 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$73.00
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.4 | 1 |
| Practice expense | 0.76 | 0.889 |
| Malpractice | 0.12 | 0.915 |
(1.4 × 1 + 0.76 × 0.889 + 0.12 × 0.915) × $33.4009 = $73.00
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.4 | 1 |
| Practice expense | 0.38 | 0.889 |
| Malpractice | 0.12 | 0.915 |
(1.4 × 1 + 0.38 × 0.889 + 0.12 × 0.915) × $33.4009 = $61.71
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
99449 billing questions
When should 99449 be selected instead of 99448?
Use 99449 when the consultant’s qualifying service reaches at least 31 minutes. Code 99448 is the 21–30 minute band.
Does 99449 require both a discussion and a written report?
Yes. The service includes communication of the consultant’s advice to the treating or requesting clinician and a written report.
Can the requesting clinician’s work be reported separately?
The requesting clinician’s referral preparation and communication work is separate from the consultant’s service. Code 99452 may apply when its requirements are met.
What documentation supports 99449?
Document who requested the consultation, the clinical question, records reviewed, the communication and recommendations, the written report, and the consultant’s time.
Can 99449 represent an in-person specialist evaluation?
No. It represents remote interprofessional assessment and communication, not the consultant’s face-to-face evaluation of the patient.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
13,11399446,,Ntrprof ph1/ntrnet/ehr 5-10,A,,0.35,0.18,,0.09,,0.04,0.57,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11499447,,Ntrprof ph1/ntrnet/ehr 11-20,A,,0.70,0.37,,0.19,,0.07,1.14,0.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11599448,,Ntrprof ph1/ntrnet/ehr 21-30,A,,1.05,0.56,,0.29,,0.09,1.70,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11699449,,Ntrprof ph1/ntrnet/ehr 31/>,A,,1.40,0.76,,0.38,,0.12,2.28,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11799450,,Basic life disability exam,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11899451,,Ntrprof ph1/ntrnet/ehr 5/>,A,,0.70,0.31,,0.15,,0.05,1.06,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,11999452,,Ntrprof ph1/ntrnet/ehr rfrl,A,,0.70,0.36,,0.18,,0.05,1.11,0.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631